脊髓损伤患者应用康复治疗对远期功能独立性的影响  

作　　者：方文军[1] 张长杰[1] 

机构地区：[1]中南大学湘雅二医院,湖南长沙410011

出　　处：《湖南中医药大学学报》2016年第A02期1423-1424,共2页Journal of Hunan University of Chinese Medicine

摘　　要：目的探讨康复治疗对脊髓损伤患者远期功能独立性的影响.方法 选取2011年6月至2013年6月于我院就诊的脊髓损伤患者中选取88例,随机将88例患者随机分组,每组各44例. 对照组患者只进行 手术治疗或 （和） 常规药物治疗, 病情稳定后即出院, 未进行康复治疗. 研究组患者除在病情稳定后由专业的康复医师对患者的病情进行详细评估,制定全面的康复治疗计划, 进行全面系统的康复训练. 应用改良Barthel指数评价工具评价治疗前后患者功能独立性情况. 结果 通过对患者Barthel指数以及功能独立性评定对比,在治疗前,研究组 Barthel 指数为（29.34±7.56）,功能独立性评定为（19.35±3.0）.对照组 Barthel 指数为（30.24±8.5）,功能独立性评定为（20.67±3.78）分,两组患者差异无统计学意义（P〉0.05）;在治疗后,研究组Barthel指数为（57.56±10.13）,功能独立性评定为（64.57±5.78）,对照组指数为（20.67±3.78）,功能独立性评定为（59.45±9.34）分,差异有统计学意义（P〈0.05）.结论 有效的康复治疗能够改善患者远期的生活自理能力,从而有效提高了患者的生存质量.Objective To investigate the effect of rehabilitation therapy on long-term functional independence of patients with spinal cord injury. Methods 88 cases of spinal cord injury were selected from June 2011 to June 2013 in our hospital, 88 patients were randomly divided into 44 groups, each group had cases. Patients in the control group were only treated with surgery or （and） conventional drug therapy. After the treatment, the patients in the control group were discharged. Patients in the study group were not only in the condition of stable disease after the professional rehabilitation physicians to assess the severity of the disease, to develop a comprehensive rehabilitation treatment plan, to conduct a comprehensive system of rehabilitation training. Functional independence of patients before and after treatment with modified Barthel index evaluation tool. Results after treatment, the Barthel index of the study group was （29.34 ＋ 7.56）, and the functional independence was assessed （19.35 ＋ 3） by comparing the Barthel index and functional independence of the patients. The control group Barthel index （30.24 ＋ 8.5）, functional independence measure for （20.67 ＋ 3.78）, there was no significant difference between the two groups （P 〉 0.05）; after treatment, the study group Barthel index （57.56 ＋ 10.13）, functional independence measure for （64.57 ＋ 5.78） and the control group the index is （20.67 ＋ 3.78）, functional independence measure for （59.45 ＋ 9.34）, the difference was statistically significant （P 〈 0.05）. Conclusion effective rehabilitation therapy can improve the long-term life self-care ability, and effectively improve the quality of life of patients.

关 键 词：脊髓损伤 康复治疗 功能独立性 

分 类 号：R2[医药卫生—中医学]